Hope and Burden among Latino Families of Adults with Schizophrenia

This study examined hope and family burden among Latino families of individuals with schizophrenia. The sample consisted of 54 family members, one family member per outpatient adult recruited from public mental health programs in a diverse urban community. Hierarchical linear regression analyses were used to test the hypothesis that the family member's increased hope for the patient's future would be associated with decreased family burden beyond effects explained by the patient's length of illness and severity of symptoms. Results supported the study hypothesis. Family hope for the patient's future was associated with four of five types of family burden. Findings point to the prominent role of hope as a source of resilience for Latino families dealing with severe mental illness of a loved one.     

Relationship between Mental Health and Burden among Primary Caregivers of Outpatients with Schizophrenia

There is growing recognition that caring for a patient with schizophrenia often results in high levels of perceived burden and poorer overall mental health for caregivers. A quantitative cross‐sectional design and standardized instruments were used to collect data from 355 primary caregivers of adults in outpatient care with schizophrenia in China. Structural equation modeling was used to examine the association between caregiver burden and mental health among primary caregivers and whether this association is influenced by personality, coping style, and family functioning, based on a diathesis–stress perspective. Goodness‐of‐fit indices (χ²/df = 1.406, GFI = 0.919, CFI = 0.957, etc.) confirmed that the modified model fit the data well. In line with the diathesis–stress model, and with this study's hypotheses, we found that caregiver burden was significantly related to mental health outcomes directly. The final model showed that personality traits, coping style, and family function influenced the relationship between caregiver burden and mental health. The neuroticism personality traits have a direct effect on caregiver burden and family functioning in this sample. Coping style had a direct effect on the caregiver burden, and family functioning had a direct effect on the caregiver burden. Our final model about primary caregivers can be applied clinically to predict mental health outcomes from caregiver burden.     

情绪劳动与心理健康的关系:工作倦怠的中介作用

主要探讨情绪劳动与心理健康的关系以及工作倦怠对二者关系的中介作用。采用情绪劳动量表、心理健康量表和工作倦怠量表对山东省5家医院的200名护士进行问卷调查。结果表明,情绪劳动与心理健康呈显著负相关,对心理健康具有显著的负向预测作用,具体表现为对躯体化、焦虑、妄想和精神病性有负向预测作用;情绪劳动与工作倦怠呈显著正相关,对工作倦怠具有显著的正向预测作用,表现在情绪衰竭和去人格化两个方面。工作倦怠是情绪劳动与心理健康关系的中介变量,工作倦怠对情绪劳动与心理健康之间的关系具有完全中介作用,情绪劳动通过工作倦怠间接影响心理健康。     

Structural validity of the Mental Health Continuum-Short Form: The bifactor model of emotional,social and psychological well-being

The Mental Health Continuum-Short Form (MHC-SF) is a growingly popular questionnaire designed to assess three components of well-being: emotional, social, and psychological. The main goal of the present study was to evaluate the structural validity of the MHC-SF and test the bifactor model of the MHC-SF, which includes one general factor and three specific factors of well-being. Sample 1 consisted of 1095 Serbian students (aged 18–26 years), while Sample 2 included 325 Serbian adults (aged 27–63 years). The bifactor model of the MHC-SF yielded the best fit to the data across the two samples. The results showed that the general factor of well-being accounted for substantially greater amount of variance of the MHC-SF than three specific factors of well-being. After controlling for the general factor, three specific factors explained a small portion of variance in well-being. In addition, the three subscales of the MHC-SF showed low reliability as estimated by omega-subscale coefficients, indicating that these subscales comprise too small amount of reliable variance to interpret. The present findings suggest that researchers should not calculate separate scores for three types of well-being when using the MHC-SF and that alternative measures of specific components of well-being should be considered.     

The Intensive Mental Health Program: Development and Structure of the Model of Intervention for Children with Serious Emotional Disturbances

In order to meet the challenging needs and behaviors of children with Serious Emotional Disorders (SED), a school and community based Intensive Mental Health Program (IMHP) was developed and evaluated. We describe the conceptual framework, treatment principles, and model for service delivery for psychological and educational interventions under the umbrella of the IMHP. The program illustrates a model of comprehensive services for children with SED.     

Evaluating Outcome Domains Assessing Caregivers of Individuals with Mental Illness: A Review

In this article, we describe the properties and consider the outcome dimensions of a collection of self‐administered questionnaires that assess caregivers of offspring with mental illness. To this end, we searched the MEDLINE, Web of Science, and PsycINFO databases, as well as reference lists of studies published between 1980 and 2012. We reviewed 43 instruments, and found multiple outcome domains, associated with either objective burden or subjective burden, or both. A number of tools captured additional negative aspects of caregiving (e.g., strain, stress, and worrying) as well as positive aspects (e.g., personal growth, strength, support, rewards, and satisfaction), supplemented by measures assessing caregivers' perceptions and attitudes toward their offspring with SMI (e.g., insight, stigma, and efficacy). This current review of existing measures and their specific domains contributes to a more comprehensive understanding of the caregiving experience and allows both clinicians and researchers to select the most appropriate measurement tools for their purposes.     

Race-Related Differences in the Experiences of Family Members of Persons with Mental Illness Participating in the NAMI Family to Family Education Program

Families play an important role in the lives of individuals with mental illness. Coping with the strain of shifting roles and multiple challenges of caregiving can have a huge impact. Limited information exists regarding race-related differences in families’ caregiving experiences, their abilities to cope with the mental illness of a loved one, or their interactions with mental health service systems. This study examined race-related differences in the experiences of adults seeking to participate in the National Alliance on Mental Illness Family-to-Family Education Program due to mental illness of a loved one. Participants were 293 White and 107 African American family members who completed measures of problem- and emotion-focused coping, knowledge about mental illness, subjective illness burden, psychological distress, and family functioning. Multiple regression analyses were used to determine race-related differences. African American caregivers reported higher levels of negative caregiving experiences, less knowledge of mental illness, and higher levels of both problem-solving coping and emotion-focused coping, than White caregivers. Mental health programs serving African American families should consider targeting specific strategies to address caregiving challenges, support their use of existing coping mechanisms and support networks, and increase their knowledge of mental illness.     

Marginalized Identities,Trump-Related Distress,and the Mental Health of Underrepresented College Students

The current study sought to determine whether holding targeted marginalized identities was associated with greater experiences of distress related to Trump's presidency and whether participants’ level of Trump-related distress predicted decrements in mental health. Participants in the current longitudinal study included 338 underrepresented college students attending a predominantly White institution. Results indicated that individuals who held targeted marginalized identities reported greater Trump-related distress compared to their non-targeted counterparts, and that holding multiple targeted marginalized identities was associated with greater levels of Trump-related distress. Findings also indicated that Trump-related distress was associated with increases (relative to previous trajectories) in anxious but not depressive symptoms. Overall, our results suggest that a shift in sociopolitical circumstances that promulgates bigotry may be harmful to those who possess targeted marginalized identities.     

Integrating Mental Health and Primary Care Services in the Department of Veterans Affairs Health Care System

Integrating mental health care in the primary care setting has been identified in the literature as a model for increasing access to mental health services and has been associated with enhanced clinical and functional patient outcomes and higher patient satisfaction. The Department of Veterans Affairs (VA), which operates the nation’s largest integrated health care system, has taken a leadership role in creating a health care system in which mental health care is provided in the primary care setting. This article examines VA’s efforts and progress to date in implementing evidence-based models of integrated mental health services nationally in community based outpatient clinics, home based primary care, and outpatient primary clinics at medical facilities. Psychology plays an important role in this progress, as part of an overall interdisciplinary effort, in which all professions are crucially important and work together to promote the overall well-being of patients. This article is based in part on a presentation by the first author at the 3rd National Conference of the Association of Psychologists in Academic Health Centers (APAHC) in May of 2007 in Minneapolis, Minnesota.     

Culture, memory, and the self: An analysis of the personal and collective self in long-term memory

We used a memory paradigm to test whether the nature of representations of the self within long-term memory differed as a function of cultural background. In Western samples words encoded in relation to the self are typically remembered better, and Euro-Canadian participants here showed this standard self-reference effect. However, Asian-Canadian participants were slower to recognize personal traits (as opposed to collective traits) when these traits had been encoded in reference to the self, suggesting a more elaborate representation of the collective self than the personal self in long-term memory. Further, memory was actually inhibited for Asian-Canadians when personal traits were encoded in reference to the self (vs. encoded with other referents). Differences in long-term memory trace strength for self-related data may emerge even as differences in the working self do not, and implications of this difference are discussed.     

Factors Impacting the Mental Health of the Caregivers of Children with Asthma in China: Effects of Family Socioeconomic Status,Symptoms Control,Proneness to Shame,and Family Functioning

Caregiver mental health is widely considered to be an important factor influencing children's asthma symptoms. The present study aimed to examine key factors that contribute to caregiver mental health in pediatric asthma with a Chinese sample. Two hundred participants reported their family socioeconomic status (SES), proneness to shame, asthma symptoms control of their child, family functioning, and their depression and anxiety symptoms. Results suggested that low family SES, low family functioning, and a high level of shame proneness were associated with high levels of anxiety and depression for caregivers. Family functioning mediated the effects of SES and shame on caregiver mental health and also moderated the effects of SES and shame on caregiver depression. This study highlights the importance of reducing experience of shame and enhancing family functioning in families affected by pediatric asthma.     

中学生感觉寻求、亲子关系与心理健康的关系

以370名中学生为被试,采用量表法,考察了中学生感觉寻求、亲子关系(家庭教养方式)与心理健康水平的关系。结果表明:(1)人口统计学变量(性别、是否单亲、年级和家庭人均月收入)对中学生心理健康水平具有显著影响。(2)去抑制感觉寻求因子和亲子关系与心理健康水平相关显著:去抑制与心理健康呈显著正相关,亲子关系与心理健康呈显著负相关,去抑制与亲子关系呈显著负相关。(3)在控制了人口统计学变量之后,去抑制感觉寻求因子和消极拒绝型、积极拒绝型、不安型、矛盾型亲子关系对心理健康水平具有良好预测能力。(4)去抑制感觉寻求因子在亲子关系对心理健康的影响上起到了中介作用。     

急性创伤青年患者的心理健康水平与小组干预

为了探讨急性创伤青年患者的心理健康水平及小组干预对策,采用三种国际通用量表（SCL-90、HAMA、HAMD）对160例急性创伤青年患者进行测评,在给予传统心理护理的同时,进行小组干预,然后比较患者干预前后心理健康水平;并以既往同种病例为对照,比较治疗效果。结果显示,86．25％的急性创伤青年患者存在有不同程度的心理障碍。通过小组干预后,患者心理健康水平明显提高;患者的临床疗效明显改善。因此小组干预可显著改善急性创伤青年患者的心理应激水平,提高临床疗效。     

广东汕头市公安人员心理健康水平调查研究

为调查了解汕头市公安人员的心理健康状况．本文采用心理症状自评量表(SCL-90)对汕头市区分局的男女警察共339名进行问卷调查,分析所得数据,结果发现：样本总体健康水平高于常模;女警察心理健康程度略高于男警察;治安警在强迫人际关系和忧郁程度方面因子分显著比刑警、巡警高;警龄大于15年的警察群体的躯体化因子分大于警龄小于15年的警察;年龄大的警察样本偏执因子分高于年龄小的样本。结论表明：警察群体的总体心理健康状况良好,但部分群体在某些心理状况方面需加以调整和改善。     

员工职业倦怠、应对方式、生活满意度与心理健康的相关研究

目的：探讨职业倦怠、应对方式、生活满意度对心理健康水平的影响。方法：运用问卷调查法测量了南京市移动公司共132名员工（剔除无效后获得有效问卷113份）的职业倦怠、应对方式、生活满意度和心理健康水平。所用工具分别是职业倦怠问卷（MBI中文修订）,简易应对方式量表,生活满意度指数（LSIA）,症状自评量表（SCL-90）。结果：（1）职业倦怠三个维度与症状自评量表总分存在显著相关（0.655;0.502;0.365）。（2）简易应对方式量表中,积极应对方式与症状自评量表存在负相关（-0.134）,消极应对方式与症状自评量表存在显著正相关（0.460）。（3）职业倦怠量表的情感枯竭,讥诮态度和简易应对方式量表的消极应对方式对心理健康有一定的预测效应。（4）生活满意度指数与症状自评量表没有达到显著相关,且该指数对心理健康没有明显的预测作用。     

Racial Differences in Beliefs About the Effectiveness and Necessity of Mental Health Treatment

Members of racial/ethnic minority groups are less likely than Caucasians to access mental health services despite recent evidence of more favorable attitudes regarding treatment effectiveness. The present study explored this discrepancy by examining racial differences in beliefs about how the natural course and seriousness of mental illnesses relate to perceived treatment effectiveness. The analysis is based on a nationally representative sample of 583 Caucasian and 82 African American participants in a vignette experiment about people living with mental illness. While African Americans were more likely than Caucasians to believe that mental health professionals could help individuals with schizophrenia and major depression, they were also more likely to believe mental health problems would improve on their own. This belief was unrelated to beliefs about treatment effectiveness. These findings suggest that a belief in treatment effectiveness may not increase service utilization among African Americans who are more likely to believe treatment is unnecessary.     

藏族学生控制源、社会支持与心理健康的研究

目的探讨玉树民族中学藏族学生控制源、社会支持与心理健康的关系。方法采用心理健康、内外控制源和领悟社会支持量表。结果①不同性别学生心理健康总分差异显著,社会支持和控制源得分差异不显著。②不同年级学生在控制源差异显著,其余变量差异不显著。③除家庭支持外,心理控制源、社会支持及其各维度与心理健康显著相关。④控制源和朋友支持对心理健康有很好的预测作用。结论控制源和社会支持在一定程度上对心理健康有预测作用。     

Anxiety Reactions and Coping Modalities with the COVID-19 Pandemic: A Cross-Sectional Study Comparing a Population of Religious Patients with Mental Illness and their Health Caregivers

Journal of Religion and Health - This study evaluates the nature and intensity of anxiety, interpretations of the COVID-19 pandemic and coping modalities of hospitalized patients with mental...     

五省部分地区农民工子女心理健康调查

目的：了解农民工子女的心理现状,以提高其心理健康水平。方法：本研究的被试采用《症状自评量表-SCL90》进行测试。结果：（1）农民工子女心理问题的发生率为18．73％,排在前四位的影响因子是：人际敏感、抑郁、焦虑和偏执。（2）农民工子女的人际敏感、抑郁、焦虑、偏执、强迫和精神病性6因子均分显著高于常模;女生的人际敏感、偏执、敌对、强迫和精神病性5因子均分显著高于男生;非独生子女的强迫、人际敏感、忧郁和精神病性4因子均分显著高于独生子女。（3）“留守子女”的抑郁、焦虑、偏执、强迫和精神病性5因子均分显著高于随父母进城的农民工子女。结论：农民工子女的心理健康总体水平不高,社会应给予高度关注。     

A Longitudinal Study of Predictors of Housing Stability,Housing Quality,and Mental Health Functioning Among Single Homeless Individuals Staying in Emergency Shelters

The current study examined risk and resilience factors at multiple levels that affect homeless individuals' ability to exit homelessness and achieve housing stability. It also examined the relationship between housing status, housing quality and mental health functioning. The methodology is a longitudinal study of single homeless individuals staying in emergency shelters in a medium‐sized Canadian city who were followed for a 2 year period. Data were collected from participants at a baseline interview when they were homeless and at a 2‐year follow‐up. There were 329 participants interviewed at baseline and 197 (59.9%) participants interviewed at follow‐up. Results from a structural equation modelling analysis found that having interpersonal and community resources were predictive of achieving housing stability. Specifically, having a larger social support network, access to subsidized housing, and greater income was related to achieving housing stability. On the other hand, having a substance use problem was a risk factor associated with a failure to achieving housing stability. Being female, feeling personally empowered, having housing that is perceived of being of higher quality were directly predictive of mental health functioning at follow‐up. Findings are discussed in the context of previous research and their policy implications.